Parents arrive with their 10-year-old with abdominal injuries caused by a bicycle accident. The mother reports that it happened about 4 hours ago, but he seems to be getting worse. The patient was wearing a helmet and there was no loss of consciousness. The patient is in obvious pain and says it is getting worse. Spinal injury has been ruled out. Vitals as follows: HR 130/min BP: 110/50mmHg Respirations: 30/min Sp02 92% on room air. Temperature 98.6 F Weight: 40 kg
about 3–5 minutes
Question 1 of 5
What type of shock are you concerned may be present here?
Question 2 of 5
What immediate intervention is indicated?
Question 3 of 5
What other step is indicated as treatment for this child?
Question 4 of 5
If this child’s heart rate does not decrease with the first fluid bolus and/or his blood pressure decreases, what is the next intervention?
Question 5 of 5
What other assessment is necessary early in the treatment of this child?
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